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Revista Brasileira de Anestesiologia

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https://www.readbyqxmd.com/read/28802481/-noninvasive-ventilation-after-extubation
#1
LETTER
Dominique Prat, Pierre Trouiller, Benjamin Sztrymf
No abstract text is available yet for this article.
August 9, 2017: Revista Brasileira de Anestesiologia
https://www.readbyqxmd.com/read/28802480/-non-invasive-mechanical-ventilation-after-the-successful-weaning-where-are-the-limits-of-venturi-mask
#2
LETTER
Jacobo Bacariza Blanco, Antonio M Esquinas
No abstract text is available yet for this article.
August 9, 2017: Revista Brasileira de Anestesiologia
https://www.readbyqxmd.com/read/28754225/-low-dose-propofol-vs-lidocaine-for-relief-of-resistant-post-extubation-laryngospasm-in-the-obstetric-patient
#3
Ali M Mokhtar, Ahmed A Badawy
BACKGROUND: Post-extubation laryngospasm is a dangerous complication that should be managed promptly. Standard measures were described for its management. We aimed to compare the efficacy of propofol (0.5mg.kg(-1)) vs. lidocaine (1.5mg.kg(-1)) for treatment of resistant post-extubation laryngospasm in the obstetric patients, after failure of the standard measures. METHOD: This study was conducted over 2 years on all obstetric patients scheduled for cesarean delivery...
July 25, 2017: Revista Brasileira de Anestesiologia
https://www.readbyqxmd.com/read/28687181/-is-there-still-an-indication-for-the-use-of-succinylcholine-in-cesarean-section-the-answer-is-no
#4
LETTER
Ricardo Vieira Carlos, Marcelo Luis Abramides Torres, Hans Donald de Boer
No abstract text is available yet for this article.
July 4, 2017: Revista Brasileira de Anestesiologia
https://www.readbyqxmd.com/read/28669423/-influence-of-perfusion-status-on-central-and-mixed-venous-oxygen-saturation-in-septic-patients
#5
Simone Harumi Goto, Bruno Franco Mazza, Flávio Geraldo Resende Freitas, Flávia Ribeiro Machado
BACKGROUND AND OBJECTIVES: Although there is controversy regarding the role of venous oxygen saturation in the initial resuscitation of septic patients with hypoperfusion, these markers are still widely used. This study aimed to evaluate the correlation and concordance between central (SvcO2) and mixed (SvO2) oxygen saturation in septic shock patients with or without hypoperfusion, in addition to the impact of these differences in patient conduction. METHODS: Patients with septic shock were monitored with pulmonary artery catheter and the following subgroups of hypoperfusion were analyzed: 1) lactate>28mg/dL; 2) base excess ≤ -5 mmoL/L; 3) venoarterial CO2 gradient>6mmHg; 4) SvO2<65%; 5) SvcO2<70%; 6) lactate>28mg/dL and SvO2<70%; 7) lactate>28mg/dL and SvcO2<75%...
June 29, 2017: Revista Brasileira de Anestesiologia
https://www.readbyqxmd.com/read/28655457/-occupational-hazards-dna-damage-and-oxidative-stress-on-exposure-to-waste-anesthetic-gases
#6
Lorena M C Lucio, Mariana G Braz, Paulo do Nascimento Junior, José Reinaldo C Braz, Leandro G Braz
BACKGROUND AND OBJECTIVES: The waste anesthetic gases (WAGs) present in the ambient air of operating rooms (OR), are associated with various occupational hazards. This paper intends to discuss occupational exposure to WAGs and its impact on exposed professionals, with emphasis on genetic damage and oxidative stress. CONTENT: Despite the emergence of safer inhaled anesthetics, occupational exposure to WAGs remains a current concern. Factors related to anesthetic techniques and anesthesia workstations, in addition to the absence of a scavenging system in the OR, contribute to anesthetic pollution...
June 24, 2017: Revista Brasileira de Anestesiologia
https://www.readbyqxmd.com/read/28651779/-randomized-prospective-study-of-three-different-techniques-for-ultrasound-guided-axillary-brachial-plexus-block
#7
Leonardo Henirque Cunha Ferraro, Alexandre Takeda, Paulo César Castello Branco de Sousa, Fernanda Moreira Gomes Mehlmann, Jorge Kiyoshi Mitsunaga Junior, Luiz Fernando Dos Reis Falcão
INTRODUCTION: Randomized prospective study comparing two perivascular techniques with the perineural technique for ultrasound-guided axillary brachial plexus block (US-ABPB). The primary objective was to verify if these perivascular techniques are noninferior to the perineural technique. METHOD: 240 patients were randomized to receive the techniques: below the artery (BA), around the artery (AA) or perineural (PN). The anesthetic volume used was 40mL of 0.375% bupivacaine...
June 23, 2017: Revista Brasileira de Anestesiologia
https://www.readbyqxmd.com/read/28576279/-atypical-reaction-to-anesthesia-in-duchenne-becker-muscular-dystrophy
#8
Helga Cristina Almeida da Silva, Marcia Hiray, Mariz Vainzof, Beny Schmidt, Acary Souza Bulle Oliveira, José Luiz Gomes do Amaral
BACKGROUND AND OBJECTIVES: Duchenne/Becker muscular dystrophy affects skeletal muscles and leads to progressive muscle weakness and risk of atypical anesthetic reactions following exposure to succinylcholine or halogenated agents. The aim of this report is to describe the investigation and diagnosis of a patient with Becker muscular dystrophy and review the care required in anesthesia. CASE REPORT: Male patient, 14 years old, referred for hyperCKemia (chronic increase of serum creatine kinase levels - CK), with CK values of 7,779-29,040IU...
May 30, 2017: Revista Brasileira de Anestesiologia
https://www.readbyqxmd.com/read/28571661/-evaluation-and-perioperative-management-of-patients-with-diabetes-mellitus-a-challenge-for-the-anesthesiologist
#9
REVIEW
João Paulo Jordão Pontes, Florentino Fernandes Mendes, Mateus Meira Vasconcelos, Nubia Rodrigues Batista
Diabetes mellitus (DM) is characterized by alteration in carbohydrate metabolism, leading to hyperglycemia and increased perioperative morbidity and mortality. It evolves with diverse and progressive physiological changes, and the anesthetic management requires attention regarding this disease interference in multiple organ systems and their respective complications. Patient's history, physical examination, and complementary exams are important in the preoperative management, particularly glycosylated hemoglobin (HbA1c), which has a strong predictive value for complications associated with diabetes...
May 30, 2017: Revista Brasileira de Anestesiologia
https://www.readbyqxmd.com/read/28551058/-anesthesia-recovery-comparison-between-remifentanil-propofol-and-remifentanil-desflurane-guided-by-bispectral-index-%C3%A2-monitoring
#10
Raphael Grossi Rocha, Eduardo Giarola Almeida, Lara Moreira Mendes Carneiro, Natália Farias de Almeida, Walkíria Wingester Vilas Boas, Renato Santiago Gomez
BACKGROUND AND OBJECTIVES: There is a strong demand for fast and predictable anesthesia recovery with few side effects. Choice of the hypnotic agent could impact on that. This study investigated the differences between recoveries after remifentanil-propofol and remifentanil-desflurane anesthesias guided by bispectral index (BIS(®)). METHODS: Forty patients were randomly assigned into 2 groups according to the anesthesia technique applied: remifentanil-propofol (REM-PRO) and remifentanil-desflurane (REM-DES)...
May 25, 2017: Revista Brasileira de Anestesiologia
https://www.readbyqxmd.com/read/28551063/-superior-gluteal-nerve-a-new-block-on-the-block
#11
Miguel Sá, Rita Graça, Hugo Reis, José Miguel Cardoso, José Sampaio, Célia Pinheiro, Duarte Machado
BACKGROUND AND OBJECTIVES: The superior gluteal nerve is responsible for innervating the gluteus medius, gluteus minimus and tensor fascia latae muscles, all of which can be injured during surgical procedures. We describe an ultrasound-guided approach to block the superior gluteal nerve which allowed us to provide efficient analgesia and anesthesia for two orthopedic procedures, in a patient who had significant risk factors for neuraxial techniques and deep peripheral nerve blocks. CLINICAL REPORT: An 84-year-old female whose regular use of clopidogrel contraindicated neuraxial techniques or deep peripheral nerve blocks presented for urgent bipolar hemiarthroplasty in our hospital...
May 24, 2017: Revista Brasileira de Anestesiologia
https://www.readbyqxmd.com/read/28551062/-alternative-approach-to-autonomic-instability-of-very-severe-tetanus-stellate-ganglion
#12
Başak Altıparmak, Ali İhsan Uysal, Eylem Yaşar, Semra Demirbilek
Tetanus is an acute and deadly disease caused by Clostridium tetani. A 60-year-old male came to hospital after he injured his thumb with a knife. Ten days later, he returned to hospital with abdominal spasms. He was vaccinated against tetanus and referred to intensive care unit. As he had sudden difficulty in respiration, he was entubated. Midazolam, magnesium and esmolol infusion were started. Next day, muscle spasms progressed all over his body. Midazolam infusion was replaced with propofol and vecuronium...
May 24, 2017: Revista Brasileira de Anestesiologia
https://www.readbyqxmd.com/read/28551061/-atelectasis-in-postoperative-bariatric-surgery-how-many-understand-them
#13
LETTER
Luiz Alberto Forgiarini Junior, Antonio M Esquinas
No abstract text is available yet for this article.
May 24, 2017: Revista Brasileira de Anestesiologia
https://www.readbyqxmd.com/read/28551060/-efficiency-of-bupivacaine-and-association-with-dexmedetomidine-in-transversus-abdominis-plane-block-ultrasound-guided-in-postoperative-pain-of-abdominal-surgery
#14
Recep Aksu, Gülçin Patmano, Cihangir Biçer, Ertan Emek, Aliye Esmaoğlu Çoruh
BACKGROUND AND OBJECTIVES: We aimed to evaluate the effect of bupivacaine and dexmedetomidine added to bupivacaine used in tranversus abdominis plane (TAP) block on postoperative pain and patient satisfaction in patients undergoing lower abdominal surgery. METHODS: Patients submitted to lower abdominal surgery were enrolled in the study. After anesthesia induction, ultrasound guided TAP block was performed. TAP block was obtained with 21mL 0.9% saline in Group C (n=31), 20mL 0...
May 24, 2017: Revista Brasileira de Anestesiologia
https://www.readbyqxmd.com/read/28551059/-post-operative-pain-after-ultrasound-transversus-abdominis-plane-block-versus-trocar-site-infiltration-in-laparoscopic-nephrectomy-a-prospective-study
#15
Ana M Araújo, Joana Guimarães, Catarina S Nunes, Paula S Couto, Eduarda Amadeu
BACKGROUND: Transversus abdominis plane (TAP) block is useful in reducing post-operative pain in laparoscopic nephrectomy compared to placebo. The purpose of this work is to compare post-operative pain and recovery after TAP block or trocar site infiltration (TSI) in this surgery. METHODS: A prospective, single blinded study on patients scheduled for laparoscopic nephrectomy. Patients were assigned to two groups: TSI Group: trocar site infiltration at the end of surgery; TAP Group: unilateral ultrasound-guided TAP block after induction...
May 24, 2017: Revista Brasileira de Anestesiologia
https://www.readbyqxmd.com/read/28551057/-postoperative-excessive-blood-loss-after-cardiac-surgery-can-be-predicted-with-international-society-on-thrombosis-and-hemostasis-scoring-system
#16
Yoon Ji Choi, Seung Zhoo Yoon, Beom Joon Joo, Jung Man Lee, Yun-Seok Jeon, Young Jin Lim, Jong Hwan Lee, Hyuk Ahn
BACKGROUND AND OBJECTIVE: Prediction of postoperative excessive blood loss is useful for management of Intensive Care Unit after cardiac surgery. The aim of present study was to examine the effectiveness of International Society on Thrombosis and Hemostasis scoring system in patients with cardiac surgery. METHOD: After obtaining approval from the institutional review board, the medical records of patients undergoing elective cardiac surgery using Cardio-Pulmonary Bypass between March 2010 and February 2014 were retrospectively reviewed...
May 24, 2017: Revista Brasileira de Anestesiologia
https://www.readbyqxmd.com/read/28549525/-anesthesia-in-a-newborn-with-klippel-feil-syndrome
#17
LETTER
Mefkur Bakan
No abstract text is available yet for this article.
May 23, 2017: Revista Brasileira de Anestesiologia
https://www.readbyqxmd.com/read/28549524/-quadratus-lumborum-block-are-we-aware-of-its-side-effects-a-report-of-2-cases
#18
Miguel Sá, José Miguel Cardoso, Hugo Reis, Marta Esteves, José Sampaio, Isabel Gouveia, Pilar Carballada, Célia Pinheiro, Duarte Machado
BACKGROUND AND OBJECTIVES: The quadratus lumborum block was initially described in 2007 and aims at blocking the same nerves as the ones involved on the Transverse Abdominis Plane block, while accomplishing some visceral enervation as well due to closer proximity with the neuroaxis and sympathetic trunk. Given its versatility, we have successfully used it in a wide range of procedures. We report two cases where we believe the dispersion of local anesthetic is likely to have led to a previously undescribed complication...
May 23, 2017: Revista Brasileira de Anestesiologia
https://www.readbyqxmd.com/read/28549523/-anesthetic-management-of-a-patient-with-15q-tetrasomy-for-dental-treatment
#19
Yuri Hase, Nobuhito Kemekura, Yukie Nitta, Toshiaki Fujisawa
BACKGROUND AND OBJECTIVES: 15q tetrasomy is a chromosomal abnormality that is a part of the heterogeneous group of extra structurally abnormal chromosomes. This syndrome is characterized by epilepsy, central hypotonia, developmental delay and intellectual disability, and autistic behavior. This is the first report of the anesthetic management of a patient with this syndrome. CASE REPORT: We administered general anesthesia for dental treatment in a patient with 15q tetrasomy...
May 23, 2017: Revista Brasileira de Anestesiologia
https://www.readbyqxmd.com/read/28546014/-anesthetic-requirements-measured-by-bilateral-bispectral-analysis-and-femoral-blockade-in-total-knee-arthroplasty
#20
Maylin Koo, Javier Bocos, Antoni Sabaté, Vinyet López, Carmina Ribes
BACKGROUND AND OBJECTIVES: A continuous peripheral nerve blockade has proved benefits on reducing postoperative morphine consumption; the combination of a femoral blockade and general anesthesia on reducing intraoperative anesthetic requirements has not been studied. The objective of this study was to determine the relevance of timing in the performance of femoral block to intraoperative anesthetic requirements during general anesthesia for total knee arthroplasty. METHODS: A single-center, prospective cohort study on patients scheduled for total knee arthroplasty, were sequentially allocated to receive 20mL of 2% mepivacaine throughout a femoral catheter, prior to anesthesia induction (Preoperative) or when skin closure started (Postoperative)...
May 22, 2017: Revista Brasileira de Anestesiologia
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